| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S4993 |
Contraceptive pills for birth control |
4,412 |
3,865 |
$708K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,120 |
1,073 |
$83K |
| 87806 |
|
2,884 |
2,676 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
555 |
524 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
690 |
662 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
826 |
780 |
$38K |
| 81025 |
|
2,956 |
2,758 |
$23K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,195 |
1,148 |
$18K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,205 |
1,148 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
90 |
80 |
$7K |
| 87210 |
|
520 |
235 |
$3K |
| 99050 |
|
368 |
351 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
17 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
685 |
630 |
$2K |
| 83986 |
|
261 |
236 |
$853.46 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
25 |
25 |
$750.00 |
| A4550 |
Surgical trays |
192 |
182 |
$627.36 |